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This could be a sign of body recomposition where fat is replaced with muscle

They are a legitimate option to discuss

Administration of anti-hepatic encephalopathy drugs such as neomycin, lactulose, lactitol, branched chain amino acids, and rifaximin was permitted when the patients were already taking these drugs before the study, but we forbade starting the administration of these drugs during the study

Antiageing strategy for neurodegenerative diseases: from mechanisms to clinical advances

In recent years, immunometabolism opens new therapeutic possibilities for modulation of immune responses during infections and inflammatory diseases